WALLACE PHYSICAL THERAPY LLC (NPI# 1407335268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407335268 |
| Entity Type | Organization |
| Organization Name | WALLACE PHYSICAL THERAPY LLC |
| Other Organization Name | RESOLVERX |
| Practice Address |
1830 Radius Dr Apt 910 Hollywood FL 33020-7716 |
| Practice Telephone | 7864762706 |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | JOCELYN WALLACE (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8134079004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ResolveRx | Doing Business As Name - Organization |
| Street Address |
1830 RADIUS DR APT 910 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-7716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845600 | Jocelyn Diane Wallace | Physical Therapist | 1830 Radius Dr Apt 910, Hollywood, FL 33020-7716 | 2017-07-26 |
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| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
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| Find all providers in zip 33020 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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|---|---|---|---|---|
| 1538707260 | Core Physical Therapy LLC | Clinic/Center | 3430 S Ocean Dr, Hollywood, FL 33019-2803 | 2019-12-12 |
| 1306356472 | Medical Associates Network, LLC | Clinic/Center | 3500 Hollywood Blvd Ste C3500, Hollywood, FL 33021-6809 | 2017-10-03 |
| 1891958369 | Rehab 4 You, Inc | Clinic/Center | 4302 Hollywood Blvd # 353, Hollywood, FL 33021-6635 | 2008-07-05 |
| 1518987916 | America Therapy Services Inc | Clinic/Center | 3800 Hillcrest Dr, 305, Hollywood, FL 33021-7976 | 2006-07-20 |
| 1841262243 | Hollywood Comprehensive Rehabilitation Facilities Inc | Clinic/Center | 6495 Taft Street, Hollywood, FL 33024 | 2006-02-02 |
| 1275075301 | Rehabclinics Pta, Inc. | Clinic/Center | 3325 Hollywood Blvd, Ste 200, Hollywood, FL 33021-6999 | 2016-11-07 |
| 1083168991 | Wellness Companies of Florida Corp | Clinic/Center | 12239 Sheridan St, Hollywood, FL 33026-1441 | 2016-08-09 |
| 1396150454 | Ricki S Hanzel Dpt Pa | Clinic/Center | 3800 S Ocean Dr, G3, Hollywood, FL 33019-2927 | 2014-06-27 |
| 1609138684 | One On One Physical Therapy, LLC | Clinic/Center | 2750 N 29th Ave, Suite 316, Hollywood, FL 33020-1521 | 2012-06-14 |
| 1598051971 | Nikken Wellness Center Inc | Clinic/Center | 901 S State Road 7, 430, Hollywood, FL 33023-6700 | 2011-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.